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HomeMy WebLinkAbout101409 URS CORPORATION - INSURANCE CERTIFICATE (8)P52(Ap2Mu2 A� O CERTIFICATE OF LIABILITY INSURANCE DMDD/ 08/29/2013 OB/2 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER 1-000-000-0000 CONTACT NAME: Mry Marsh Risk and Insurance Seices _ PHONE 888-769_ 3873 _ 1 FAX No .(AIC. No. EX11:- _--)_- 345 California Street E-MAIL ADDRESS,____ Suite 1300 San Francisco, CA 94104 _____ INSURER(S)AFFORDING COVERAGE NAlttl_ INSURER A: NATIONAL UNION FIRE INS CO OF PITTS 19445 INSURED 1 to 1 �q 1 INSURER 8 ZURICH AMER INS CO 16535 OHS Corporation 111 1 INSURER C: 588 ATTACHED 600 Montgomery Street, 26th Floor INSURER O: Lloyd's of fi British Companies _London INSURER E _LEXINGTON INS CO - 19437 San Francisco, CA 94111 _ _ _ _ INSURER F: COVERAGES CERTIFICATE NUMBER: 35442294 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS: ILTR I TYPE OF INSURANCE IAINSRDOLISUBR POLICY NUMBER I MMIDD/YVYY MMIDD/YYYY I LIMITS A GENERAL LIABILITY GL 5142592 09/01/1 09/01/14 EACHOCCURRENCE $2,000,000 'X- COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED _PREMISES .(Ea occurrence)_ 1000, 000 $ , _ ICLAIMS -MADE [XI OCCUR _MED_ EXP (Any one per n)_ 00, 000 X XCU, BFPD PERSONAL B ADV INJURY $ 2,000,000 X Contractual Liability GENERAL AGGREGATE $2,000,000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGO $2,000,000 r IFCTPOLICY X PRO- F� LOC I --- ---_ $_—_.— B AUTOMOBILE LIABILITY' _ _ BAP938521504 09/01/13 09/01/14 COMBINED SINGLE LIMIT -(Ea accident)_ 2 000, 000 _ $ X ANY AUTO BODILY INJURY (Per person) S ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) _ _.--- $ _ NON-OWNED HIRED AUTOS AUTOS — PROPERTY DAMAGE -(Peraccldenl)________ $ —_ UMBRELLA LIAB __ OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LLAB__ CLAIMS MADE OED I RETENTION $ _ $ C WORKERS COMPENSATION ANDEMPLOYERS'LUBILfTY YIN ANY PROPRIETORIPARTNERIEXECUTIVE OPFICERIMEMBER EXCLUDED? a NIA SEE ATTACHED Ol/Ol/13 Ol/Ol/ld-X WC STATU- I OTH- TORY LIMITS I_— ER_.-__ E.L. EACH ACCIDENT $ 2, 000, 000 — ------- (Mandatory in NH) If yos, describe under DESCRIPTION OF OPERATIONS below ELDISEASE - EA EMPLOYEE $ 2,000,000 E.L. DISEASE - POLICY LIMIT $ 2, 000, 000 D ClaimeMade Retro 11-17-38 I PP1307135 09/01/13 09/01/14 1 E Prof Liab w/Lmtd Contract 015438088 09/01/13 09/01/14 Each Claim / Agg 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remark. Schedule, if more space Is required) RE: Project No.: 22236040 - Dry Creek Basin Flood Control Project ty of Fort Collins Attn: Opal Dick 215 North Mason Street 2nd Floor P.O. Box 580 Fort Collins, CO 80522-0580 ACORD 25 (2010/05) EHuckabeeURS 35442294 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE USA ©1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD PRUX)2N 2 SUPPLEMENT TO CERTIFICATE OF INSURANCE 08/ DATE 9//2013 NAME OF INSURED: URS corporation Additional Descdotion of Operations/Remarks from Page 1: This page intentionally left blank Additional Information: The Workers• Compensation coverage shown does not apply in monopolistic states. In the States of ND, OH, WA and WY Workers• Compensation coverage is provided by the State Fund. In those States, the below -referenced policies provide Stop -Gap Employers- Liability only. workers Compensation policies apply as indicated below: National Union Fire Ins Cc Pittsburgh, PA (NAIC# 19445100): WC 035896656 - CA Insurance Company Of The State Of. PA (NAIL# 19429100): WC 035896661 - HA, WI (Stop Gap - NO, ON, WA, WY) - WC 035896662 - AK, AL, AR, AZ, CO, DE, GA, ID, KS, KY, KD, ME, NO, HS, HT, NC, NH, NM, NV, OK, OR, PA, RI, SC, SD, TN, UT, VA, VT, WV WC 035896658 - 14i WC 035896659 - NY Illinois National Ins Cc (NAIC# 23817001): WC 035896657 - FL WC 035896663 - CT, DC, HI, IA, IL, IN, LA, MI, NE, NJ WC 035896660 - TX SUPP (05/04) z w PSi6wiaWi AC40 CERTIFICATE OF LIABILITY INSURANCE °ATE'YM°°"""' 08/29/2013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER 1-000-000-0000 CONTACT NAME: Harsh Risk and Insurance Services PHONE IFAX JA/C.No.Esry:_ 888-769-3873_____— 1_(AIC, No)— 345 California Street Suite 1300 San Francisco, CA 94104 E-MAIL ADDRESS:_ INSURER(_S AFFORDING COVERAGE )--__ - _— _ NAIC4 19445 INSURER A: NATIONAL UNION FIRE INS CO OF PITTS _INSURER B: ZURICH AMER INS CO INSURERC: SEB ATTACHED INSURED UPS Corporation 16535 t 600 NODtgOmery Street, 26th Floor INSURER D: Lloyd'a of London & British Companies INSURER E: LEXINGTON INS CO 19437 San Francisco, CA 94111 -- --- ------------------ INSURER F: rnvC�wr_ec rc0T1CIr ATC MIIMoco• 35dd2292 RPVlglnM MIIMRPR- THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR TYPE OF INSURANCE � DDCNSR VUBRI I POLICY EFF -POLIMM/DDIYYYY I LIMITS POLICY NUMBER MM/DD/YYYV A GENERAL LIABILITY GL 5142592 09/01/1 09/01/14 OCCURRENCE 2,000, 000 % COMMERCIAL GENERAL LIABILITY _EACH DAMAGE TO RENTED _PR_EMISES,(Ea omunence)__ _$ _$ 1, 000, 000 _I CLAIMS -MADE I X l OCCUR MED EXP (Any one person)_ $ 10, 000 2,000,000 _$ _ X XCU, BFPD PERSONAL 8 ADV INJURY Contractual Liability _GENERALAGGREGATE $2,000,000 _X GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 ---- $ — --� POLICY I X I PRO- n LOC B AUTOMOBILE LIABILITY ELAP938521504 09/01 1 09/01/14 COMBINED SINGLE LIMIT _(Ea accident)_ ___ _ _ j 2, 000, 000 $ X ANY AUTO BODILY INJURY (Per person) $ ALL OWNED SCHEDULED AUTOHIRED AUTOS NON -OWNED _ AUTOS I— BODILY INJURY (Per accident) PROPERTY DAMAGE -(Per accident)___,__ $ I s CC EACH OCCURRENCE $ GGREG TE —1 — RETENTIdON$ LAIIMSd1ADE OED I I C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNEPJEXECUTIVE Y / N OFACERIMEMBER EXCLUDED? (Mandatory In NH) N I A SBB ATTACHED Ol/Ol/1 Ol/Ol/14 WCSTATU- OTH- X S...— _ —TORYLIMITER-._ - E.L. EACH ACCIDENT --'— $ 2,000,000 $ 2,000,000 _ _ _ EDISEASE - EA EMPLOYE __L E L. DISEASE -POLICY LIMIT $ 2,000,000 OESCRI�PTION OF oo rPERATIONS below D ClaimaHade Retro 11-17-38 I PP1307135 1 09/01/13 09/01/14 1 B Prof Liab W/Imtd Contract 015438088 09/01/11 09/01/141 Each Claim / A99 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more spa" Is mqulred) RE: Project No.: 22236040 - Dry Creek Basin Flood Control Project City of Fort Collins Attn: Opal Dick 215 North Mason Street, 2nd Floor P.O. Box 580 Fort Collins, CO 80522-0580 ACORD 25 (2010/05) RHuckabeeURS 35442292 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. USA I....,....,...... ,.�.,.�..�..,,..,. `-Q ©1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD P52b)2W)2 SUPPLEMENT TO CERTIFICATE OF INSURANCE 08/ DATE 9//2013 NAME OF INSURED: URS Corporation Additional Description of Operations/Remarks from Page t: This page intentionally left blank Additional Information: The Workers• Compensation coverage show does not apply in monopolistic states. In the States of ND, ON, WA and WY Workers• Compensation coverage is provided by the State Fund. In those States, the below -referenced policies provide Stop -Gap Employers- Liability only. Workers Compensation policies apply as indicated below: National Union Fire Ins Cc Pittsburgh, PA (NAIC# 19445100): WC 035896656 - CA Insurance Company Of The State Of PA (NAIC# 19429100): WC 035896661 - HA, WI (Stop Gap - ND, ON, WA, WY) WC 035896662 - AK, AL, AR, AZ, CO, DE, GA, ID, ES, KY, NO, ME, NO, HS, HT, NC, NH, NH, NV, OR, OR, PA, RI, SC, SD, TN, UT, VA, VT, WV WC 035896658 - HN WC 035896659 - NY Illinois National Ina Co (NAIC# 23817001): WC 035896657 - FL WC 035896663 - CT, DC, HI, IA, IL, IN, LA, MI, NE, NJ WC 035896660 - TX SUPP (05104) m 0 O N